Download - ASA Community Partnerships in Fall Prevention

COALITION BUILDING IN A

COMPLEX SYSTEMIdentifying and Maximizing Community Strengths to

Prevent Falls Among Older Adults in DC

Julie Maggioncalda, LGSW

Director of Volunteers & Social Services

Capitol Hill Village

Aging in America Conference 2012

Community Partnerships in Fall Prevention - March 31, 2012

Identifying Partners

Private Providers

Physical & Occupational Therapists

Pharmacy Groups

DC Office on Aging (DCOA)

Oversees Aging and Disability Resource Center

Funds Lead Agency within each ward

◼ Transportation, Nutrition, some case management

Nonprofit Organizations (non-DCOA funded)

Health/Aging Advocacy Groups

Villages Aging in America Conference 2012


Villages

What are Villages?

Grassroots membership organizations

Geographically based

Self-governing

Self supporting

Consolidates services

Engages strategic partners

Who do they serve?

Those who want to age in community

Families of these individualsAging in America Conference 2012


Villages as Partners in DC

Highest concentration of Villages in the country is in

the DC Metro Area

Provides direct connections to the target population of

the coalition

Existing professional network

Missions align

Financially independent



FORMING A FALLS FREE COALITION IN

WASHINGTON DCAging in America

2012 Annual Conference of ASA

Community Partnerships in Fall PreventionMarch 31, 2012

Tori Goldhammer, MS, OTR/L, ATP, CAPS

[email protected]

202-321-8173



mailto:[email protected]

Introduction

Occupational Therapist with private practice

Focus was on Home Modifications and Accessibility

Realized importance of addressing fall prevention

NCOA encouraged formation of DC Coalition



Falls Free Coalitions

“The Falls Free™ Coalition is a collection of national

organizations and state coalitions working to reduce

the growing number of falls and fall-related injuries

among older adults. “

NCOA Center for Healthy Aging Falls Free Initiative

(http://www.ncoa.org/improve-health/center-for-

healthy-aging/falls-prevention/)



State Falls Free Coalitions



Members Involved

Senior Lead Agencies

DC Villages

Pharmacist

Occupational Therapists

University staff

DC Office on Aging staff



Additional Resources

Contractors specializing in accessible

remodeling/building

Physical therapists

Northern Virginia Falls Free Coalition

Community partners

Health clubs

Medical Professionals (Medical House Call Program)



Goals

Short Term

Advocate for legislative changes for easier access to

existing programs in DC

◼ Medicaid Waiver

◼ Single Family Residential Rehabilitation Program

Implement evidence based education program city

wide

◼ Matter of Balance



Goals

Long term

Become 501c3 for funding

Become a referral source for senior and health care

providers in DC

Create a network of resources for seniors to access

including and beyond Matter of Balance

◼ Additional evidence based classes

◼ City resources

Conduct research with local universities



INCORPORATING MATTER OF BALANCE Anne Morris, EdD, OTR/L,SCEM,FAOTA

Asst. Professor, HU MSOT Program

Washington, DC

and

Morris Eldercare Consulting

Springfield, VA



What are the Components of a MOB Course?

Structured group intervention addressing fear of

falling & teaching fall prevention strategies via

Coaches (lay leaders)

Includes group discussion, problem

solving, skill building, assertiveness training,

videotapes, sharing practical solutions &

exercise training



Why MOB in DC?

The program was designed to benefit community-

dwelling older adults who:

Are concerned about falls

Have sustained a fall in the past

Restrict activities because of concerns about falling

Program aligns with coalition goals

Program utilizes community members to disseminate

program



Master Trainers

Trained by MaineHealth Partnership for Healthy

Aging

Train individuals in the community to become

Coaches (lay leaders)

Provides guidance & support during MOB classes

Ideally two Master Trainers for each Coaches

training class



Matter of Balance Class

8-12 Participants in 8 2-hour sessions

Trained by Master Trainers in 2 4-hour classes

Coaches (Lay Leaders)

Trained by Lead Trainers in a 2 day training program

Master Trainers

Trained by MaineHealth Partnership for Healthy Aging

Lead Trainers

Becoming a Coach (Lay Leader)

Characteristics of ideal Coaches are:

Good communicators

Enthusiastic

Dependable

Interested in working with older populations

Able to perform exercises of MOB program

Background in health or education are a plus

Trained by Master Trainers in 2 4-hour sessions

Attend 2.5 hours of coach training updates annually

Agree to lead two MOB classes within the first year of certification



What is the role of the guest healthcare

professional?

1-2 MOB class sessions invite a health professional to attend and answer questions on fall prevention

Occupational Therapist to discuss assistive devices

Physical Therapist to discuss how to go up/down stairs

Utilizes coalition connections to professional groups

Expands coalition goals by engaging new professionals



MOB and the DC Falls Free Coalition



Seeking funding to train 20 Master Trainers

2 Master Trainers per ward

2 Master Trainers in Village community

Master Trainers would train lay leaders in coalition community partner groups

Howard County, Maryland acts as a local model of disseminating the MOB program

A MATTER OF BALANCE

HOWARD COUNTY EXPERIENCES

HARRIET WATKINS, MS, COTA/L

[email protected]

410-313-1425




Outline

Matter of Balance in Howard County

Goals/Objectives

Evaluation/Results Based Accountability

Role of OT Professionals as MOB students and/or

coaches




Offered through Howard County Office on Aging: Health and

Wellness Division

Planning Stages:

Evaluate different Fall Prevention programs (2007)

Obtain funding for Matter of Balance (2008) MDoA

Begin Program

Train Master Trainers (2008) Maine

Market Program /Identify coaches

Offer Coach Training (Summer 2009, 2010)




Offer Matter of Balance Classes in the Community

Market Program

Seven classes (2009-2010) 9 classes completed

Five classes (2011) 3 classes completed

Five classes (2012) 1 class completed

Develop Partnerships (current)

Expand into Community Settings (current)





MOB In Action…

What We Do

13 Classes offered at 7 Senior Centers142 enrolled, 128 completed class

2009-2010 Goal 7 classes2011 Goal 5 classes

2 Coach Trainings (2009, 2010)26 coaches trained

How Well We Do It

90% completion rate

2009-10 Offered 9 classes 128%

2011 Offered 3 classes 60%

Recommend program to others: 67 % strongly, 30%

agree, 3 % disagreed

54% of trained coaches, taught classes

Is Anyone Better Off?

# of participants making home safety changes to

reduce fall risk factors after taking MOB

# of participants who can identify 6 or more fall

risk factors after taking MOB

# of participants who reported signing up for an

exercise class after taking MOB

Is Anyone Better Off?

Currently evaluating……

Matter of Balance

Results Based Accountability, Trying Hard in Not Enough Mark Friedman 2005

Outcomes

Changes to the environment

Increased Exercise

Increased self confidence

Increased awareness of surroundings

More assertive

Increase use of adaptive equipment



Benefits of OT Students and Professionals as

MOB Students/Coaches

Participate in an Evidence Based Program

Increased knowledge of fall prevention, fall risks, home

hazards, etc.

Better understanding of peoples’ feelings, fears, values

Better understanding of the adult learner

Better understanding of group dynamics

Therapeutic use of self

Importance of promoting health and wellness in the community

Educate public about OT



Challenges

Coaching Issues ◼ Full all day 8 hour training: too long, overwhelming, too large a class, people did

not have a chance to practice coaching, did not have MOB classes set up, people trained were not always the right people to coach classes, time commitment too great

◼ 2009: 5 out of 15 trained coaches (34%) led classes

Changes◼ Two day four hour training, smaller class, coaches had a chance to digest material,

ask questions, practice coaching, people wanted to coach

◼ 2010: 10 out of 11 trained coaches (90%) led classes

Lack of Ownership of Program◼ Staff changes, limited partnerships



Questions?


March 31, 2012

Julie Maggioncalda, LGSW

Director of Volunteers and Social Services at Capitol Hill Village

[email protected]

Tori Goldhammer, MS, OTR/L, ATP, CAPS [email protected]

202-321-8173

Anne Morris, EdD, OTR/L,SCEM,FAOTA Asst. Professor, HU MSOT Program

Morris Eldercare Consulting

[email protected]

Harriet Watkins, MS, COTA/L [email protected]

410-313-1425





Download - ASA Community Partnerships in Fall Prevention

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